Jaleh Pourhamidi, DMD, MDSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3-88C Issued in NV

Practice address

4 Sunset Way
Building C
Henderson, NV 89014

Phone

(702) 968-1652

Fax

(702) 990-4435

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1629133921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNSET WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-968-1652",
            "fax_number": "702-990-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUNSET WAY",
            "address_2": "BUILDING C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-968-1652",
            "fax_number": "702-990-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURHAMIDI",
        "first_name": "JALEH",
        "name_prefix": "Dr.",
        "credential": "DMD, MDSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "LL002703",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-88C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506335",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Post Acute Physicians of Nevada Vargas Group
• Karisue Virginia Postier
• Phillip D Postier
• Mia Poulsen
• Poupak Ziaei MD LLC
• Mohammad Ali Pourteymaur, PHARM.D.
• Blanca Powell
• Christine M Powell
• Haley Amber Powell, LSW
• Jeffrey Powell, ED.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.